in just the last few hours, a ceasefire between israel and palestinians in the gaza strip has began, but some fighting has reportedly continued. the agreement was brokered by egypt it follows five days of violent exchanges which have killed at least 33 palestinians in gaza and two people in israel. 33 palestinians in gaza the truce, which as you see here prompted celebration in the streets, includes a commitment by israel to stop so called targeted assassinations . in return, israel reportedly demanded a complete halt to rocket fire by palestinian militants at its civilians. however, just hours after islamichhad militants confirmed a ceasefire was in effect, a rocket was fired from the gaza strip, prompting rocket warning sirens across a region of southern israel. it s not yet clear who fired the rocket, but its worth noting that several smaller militant palestinian groups are opposed to the truce brokered earlier in the day. the current bout of violence erupted on tuesday
Objective To assess the effects of an additional programme of physiotherapy in adults with a first-time traumatic shoulder dislocation compared with single session of advice, supporting materials, and option to self-refer to physiotherapy.
Design Pragmatic, multicentre, randomised controlled trial (ARTISAN).
Setting and participants Trauma research teams at 41 UK NHS Trust sites screened adults with a first time traumatic anterior shoulder dislocation confirmed radiologically, being managed non-operatively. People were excluded if they presented with both shoulders dislocated, had a neurovascular complication, or were considered for surgical management.
Interventions One session of advice, supporting materials, and option to self-refer to physiotherapy (n=240) was assessed against the same advice and supporting materials and an additional programme of physiotherapy (n=242). Analyses were on an intention-to-treat basis with secondary per protocol analyses.
Main outcome measures The
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